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IRCT20240211060958N4 IRCT 2025-07-07 Kerman University of Medical Sciences Comparison of the effect of scapulothoracic and upper thoracic mobilization and cervical manual therapy techniques in patients with Comparison of the effect of scapulothoracic and upper thoracic mobilization and cervical manual therapy techniques in patients with chronic neck pain and scapula dyskynesia chronic neck pain and scapula dyskynesia Comparison of the effect of scapulothoracic and upper thoracic mobilization and cervical manual therapy techniques in patients with chronic neck pain and scapula dyskynesia 2025-07-28 anticipated 60 Complete https://irct.ir/trial/84332 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization: A table of random numbers is used. Participants are given a number and using the table of random numbers. Therapist randomly starts from a table point in the row or column direction. The therapist can close his eyes and choose a point, Blinding description: Double-blind study will be done, in this way, the allocation of people to the groups and the assessment of patients are done by people who are unaware of the status of the grouping of patients. Treatment is provided by a specialist physiotherapist and evaluated by a collaborator. 3 Cervical pain. Intervention 1: Intervention group: Scapulothoracic and thoracic joint mobilization. Maitland mobilization technique with grades 3 and 4 is applied to the involved vertebra and scapula. The techniques are applied in 10 sets of 10 repetitions with 30 seconds of rest between each set. Each movement was held for 5 seconds and there was a 3 second rest between each movement in each set. They also received 6 sessions of scapular mobilization over a two-week period. Intervention 2: Intervention group: Manual therapy of the neck. In this group, soft tissue release and muscle stretching of the neck muscles (levator scapulae, sternocleidomastoid, scalene, suboccipital, and upper trapezius) is performed. Soft tissue release is a posture used to reduce local muscle tightness. Patients in this group received each technique with 5 repetitions, 20 seconds hold, once a day for 6 sessions. Intervention 3: Control group: While the patient is side lying position, the therapist applies soft and superficial massage on the involved muscles. The fingertips of each therapist's hand are placed in contact with the related muscles and a surface massage is performed. The number of sessions is the same as the intervention group. Yes - There is a plan to make this available What will be shared: Some of the data, such as information about the consequences, can be shared. When: Starting the access period: 6 months after publition the results. To whom: Researchers working in academic institutions. Conditions: Only statistical analyzes can be used to find treatment for improvement of patients. Where to obtain: Applicants can be guided by email to the authors(tahere.rezaiyan@gmail.com). How to obtain: First, they will email the authors of the study and we Will be answered within a week. Comments:
public tahereh rezaeian
Kerman University of Medical Sciences, Haft Bagh Square, Kerman Town
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5700 tahere.rezaiyan@gmail.com Kerman University of Medical Sciences scientific tahereh rezaeian
Kerman University of Medical Sciences, Haft Bagh Square, Kerman Town
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5700 tahere.rezaiyan@gmail.com Kerman University of Medical Sciences Iran (Islamic Republic of) All participants are aged from 25 to 50 years Neck pain and scapular dyskynesia are diagnosed with confirmation from a specialist. Complaints of neck pain, and shoulder pain more than 3 months before starting study. The present of trigger points (latent or active) in the neck muscles such as levator scapula, SCM, scalen, suboccipital, and upper trapezius. Having neck disability index is 5 or more than 5. 25 years 50 years Both After any spinal surgery or truma, and neck radiculopathy. Severe systematic diseases. Undergoing a treatment program for neck or shoulder muscles at least 6 months prior to the study Consumption of stimulants (caffeine and nicotine) or painkillers at least 8 hours before the study or people who have contraindications to manual therapy Shoulder-related pathologies such as shoulder impingement syndrome, frozen shoulder, shoulder instability, or rotator cuff tear G54.2 Cervical disorders Rehabilitation Rehabilitation Placebo Intervention group: Scapulothoracic and thoracic joint mobilization. Maitland mobilization technique with grades 3 and 4 is applied to the involved vertebra and scapula. The techniques are applied in 10 sets of 10 repetitions with 30 seconds of rest between each set. Each movement was held for 5 seconds and there was a 3 second rest between each movement in each set. They also received 6 sessions of scapular mobilization over a two-week period. Intervention group: Manual therapy of the neck. In this group, soft tissue release and muscle stretching of the neck muscles (levator scapulae, sternocleidomastoid, scalene, suboccipital, and upper trapezius) is performed. Soft tissue release is a posture used to reduce local muscle tightness. Patients in this group received each technique with 5 repetitions, 20 seconds hold, once a day for 6 sessions. Control group: While the patient is side lying position, the therapist applies soft and superficial massage on the involved muscles. The fingertips of each therapist's hand are placed in contact with the related muscles and a surface massage is performed. The number of sessions is the same as the intervention group. Pain intensity. Timepoint: Before, After and 1month follow up. Method of measurement: Visual analog scale. Functional index. Timepoint: Before, After and 1month follow up. Method of measurement: Neck Disability Index and Disabilities of Arm, Shoulder and Hand questionnaires. Cervical range of motion. Timepoint: Before, after and 1month follow up. Method of measurement: Goniometer. Kerman University of Medical Sciences Approved 2024-12-23 Ethics Committee of the kerman University of Medical Sciences Kerman University of Medical Sciences, Haft Bagh Square, Kerman Town Kerman Kerman Iran (Islamic Republic of)